B4082: Nasogastric tubing without stylet
B4082 is a HCPCS Level II code for nasogastric tubing without stylet. It belongs to the Enteral and Parenteral Therapy section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits: units per day
The most units of B4082 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0, never payable MAI 3: Date of Service Edit: Clinical · CMS Policy
- outpatient
- 0, never payable MAI 3: Date of Service Edit: Clinical · CMS Policy
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute, no documentation overrides it. CMS MUE 2026Q4.
The CMS record for B4082
- Long descriptor
- Nasogastric tubing without stylet
- Short descriptor
- Enteral ng tubing w/o stylet
- Added
- January 1, 1986
- BETOS
- O1C
- Pricing indicator
- 39: DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service: CMS's own analytic grouping.
Parenteral and enteral nutrition.
Codes adjacent to B4082
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If B4082 is not quite right, the correct code is very often within a few positions of it.
- A9800Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie
- A9900Miscellaneous dme supply, accessory, and/or service component of another hcpcs code
- A9901Dme delivery, set up, and/or dispensing service component of another hcpcs code
- A9999Miscellaneous dme supply or accessory, not otherwise specified
- B4034Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
- B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
- B4036Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
- B4081Nasogastric tubing with stylet
- B4083Stomach tube - levine type
- B4087Gastrostomy/jejunostomy tube, standard, any material, any type, each
- B4088Gastrostomy/jejunostomy tube, low-profile, any material, any type, each
- B4100Food thickener, administered orally, per ounce
- B4102Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
- B4103Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
- B4104Additive for enteral formula (e.g., fiber)
- B4105In-line cartridge containing digestive enzyme(s) for enteral feeding, each